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CMS RVU26D · Effective 2026-10-01

37278 in Redding

Office / nonfacility

$4205.01

Base rate per service

Facility setting

$255.80

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Endovascular revascularization

About 37278: Complex femoral-popliteal stent and atherectomy, additional artery

Reports stent placement with atherectomy in each additional complex femoral or popliteal artery treated during endovascular revascularization.

This add-on represents treatment of an additional femoral or popliteal artery with both atherectomy and stent placement when the intervention meets the complex classification. The service is typically performed by an interventional radiologist, vascular surgeon, or other physician qualified to perform endovascular lower-extremity revascularization in an angiography suite or operating room. Code selection follows the treated arterial territory, the intervention performed, whether the artery is classified as complex, and whether it is the first or an additional artery treated.

Report this code with the applicable primary revascularization code; 37277 represents the first complex femoral-popliteal artery treated with stenting and atherectomy. The operative report should identify each treated artery, the intervention performed, and the basis for complex classification. CMS treats this as an add-on paid within the primary procedure’s global period. When the procedure is bilateral and modifier 50 is reported, CMS pays 150% of the applicable amount.

CMS billing rules for 37278

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.

Where the value comes from

  • Work RVU6.00 · 5%
  • Practice expense (office) RVU108.64 · 94%
  • Malpractice RVU1.35 · 1%

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

37278 compared with similar codes

Office rates for Redding, from the same CMS release.

37277

Peripheral revascularization

Complex, initial vessel

$16,797.90

37277 reports the first complex femoral-popliteal artery treated with stenting and atherectomy; 37278 reports each additional artery treated with that combination.

37276

Peripheral revascularization

Simple, each additional vessel

$3,761.15

Both codes address additional arteries treated with stenting and atherectomy, but 37276 is for straightforward interventions and 37278 is for complex interventions.

37274

Atherectomy

Complex, additional vessel

$2,687.90

37274 is for complex atherectomy in an additional femoral-popliteal artery without the stent-and-atherectomy combination represented by 37278.

37270

Arterial stenting

Complex, each additional vessel

$3,795.69

37270 is for complex stenting in an additional femoral-popliteal artery without the stent-and-atherectomy combination represented by 37278.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 37278 is $4208.70—$3.69 higher than the $4205.01 rate in Redding. Both use the same code, release and participation basis.

37278 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $4205.01

  2. Bakersfield

    $4208.70

    $3.69 higher than Redding

  3. Chico

    $4205.01

    The same base rate than Redding

  4. El Centro

    $4205.23

    $0.22 higher than Redding

  5. Fresno

    $4205.01

    The same base rate than Redding

  6. Hanford-Corcoran

    $4205.01

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $4531.28

    $326.27 higher than Redding

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 37278 ranges from $3340.66 in Arkansas to $5479.17 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 37278

    Office

    $4205.01

    Facility

    $255.80

    The same base rate than Redding for the office setting.

  • Merced

    California · 37278

    Office

    $4205.01

    Facility

    $255.80

    The same base rate than Redding for the office setting.

  • Modesto

    California · 37278

    Office

    $4205.01

    Facility

    $255.80

    The same base rate than Redding for the office setting.

  • Napa

    California · 37278

    Office

    $5018.53

    Facility

    $269.39

    $813.52 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 37278

    Office

    $4523.20

    Facility

    $264.11

    $318.19 higher than Redding for the office setting.

  • Rest Of California

    California · 37278

    Office

    $4205.01

    Facility

    $255.80

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 37278

    Office

    $4219.50

    Facility

    $270.30

    $14.49 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 37278

    Office

    $4451.94

    Facility

    $261.31

    $246.93 higher than Redding for the office setting.

  • Salinas

    California · 37278

    Office

    $4436.42

    Facility

    $260.21

    $231.41 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 37278

    Office

    $4570.75

    Facility

    $261.22

    $365.74 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 37278

    Office

    $5356.57

    Facility

    $275.93

    $1151.56 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 37278

    Office

    $5355.04

    Facility

    $274.40

    $1150.03 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 37278

    Office

    $5479.17

    Facility

    $283.22

    $1274.16 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 37278

    Office

    $5472.90

    Facility

    $276.96

    $1267.89 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 37278

    Office

    $4361.04

    Facility

    $256.89

    $156.03 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 37278

    Office

    $4637.62

    Facility

    $259.63

    $432.61 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 37278

    Office

    $4461.22

    Facility

    $259.78

    $256.21 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 37278

    Office

    $4686.60

    Facility

    $261.76

    $481.59 higher than Redding for the office setting.

  • Stockton

    California · 37278

    Office

    $4205.01

    Facility

    $255.80

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 37278

    Office

    $5016.32

    Facility

    $267.18

    $811.31 higher than Redding for the office setting.

  • Visalia

    California · 37278

    Office

    $4205.01

    Facility

    $255.80

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 37278

    Office

    $4205.01

    Facility

    $255.80

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 37278

    Office

    $4535.99

    Facility

    $291.32

    $330.98 higher than Redding for the office setting.

  • Miami

    Florida · 37278

    Office

    $4091.89

    Facility

    $340.87

    $113.12 lower than Redding for the office setting.

  • Chicago

    Illinois · 37278

    Office

    $3952.11

    Facility

    $330.80

    $252.90 lower than Redding for the office setting.

  • Manhattan

    New York · 37278

    Office

    $4501.26

    Facility

    $314.24

    $296.25 higher than Redding for the office setting.

  • Alaska*

    Alaska · 37278

    Office

    $4189.99

    Facility

    $352.49

    $15.02 lower than Redding for the office setting.

  • Alabama

    Alabama · 37278

    Office

    $3401.02

    Facility

    $248.14

    $803.99 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 37278

    Office

    $3340.66

    Facility

    $245.43

    $864.35 lower than Redding for the office setting.

  • Arizona

    Arizona · 37278

    Office

    $3755.19

    Facility

    $263.60

    $449.82 lower than Redding for the office setting.

  • Colorado

    Colorado · 37278

    Office

    $4098.94

    Facility

    $265.04

    $106.07 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 37278

    Office

    $4167.06

    Facility

    $286.31

    $37.95 lower than Redding for the office setting.

  • Delaware

    Delaware · 37278

    Office

    $3827.07

    Facility

    $267.02

    $377.94 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 37278

    Office

    $3957.78

    Facility

    $307.65

    $247.23 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 37278

    Office

    $3737.19

    Facility

    $292.45

    $467.82 lower than Redding for the office setting.

  • Atlanta

    Georgia · 37278

    Office

    $3941.89

    Facility

    $280.95

    $263.12 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 37278

    Office

    $3490.93

    Facility

    $276.80

    $714.08 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 37278

    Office

    $4352.32

    Facility

    $255.38

    $147.31 higher than Redding for the office setting.

  • Iowa

    Iowa · 37278

    Office

    $3538.54

    Facility

    $241.53

    $666.47 lower than Redding for the office setting.

  • Idaho

    Idaho · 37278

    Office

    $3560.11

    Facility

    $245.09

    $644.90 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 37278

    Office

    $3629.60

    Facility

    $314.57

    $575.41 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 37278

    Office

    $3583.86

    Facility

    $294.06

    $621.15 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 37278

    Office

    $4008.36

    Facility

    $307.78

    $196.65 lower than Redding for the office setting.

  • Indiana

    Indiana · 37278

    Office

    $3586.10

    Facility

    $245.85

    $618.91 lower than Redding for the office setting.

  • Kansas

    Kansas · 37278

    Office

    $3503.45

    Facility

    $246.08

    $701.56 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 37278

    Office

    $3467.55

    Facility

    $264.23

    $737.46 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 37278

    Office

    $3666.21

    Facility

    $275.52

    $538.80 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 37278

    Office

    $3454.98

    Facility

    $266.07

    $750.03 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 37278

    Office

    $4581.39

    Facility

    $279.06

    $376.38 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 37278

    Office

    $4060.54

    Facility

    $266.28

    $144.47 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 37278

    Office

    $4152.96

    Facility

    $286.63

    $52.05 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 37278

    Office

    $3916.02

    Facility

    $269.49

    $288.99 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 37278

    Office

    $3566.83

    Facility

    $251.81

    $638.18 lower than Redding for the office setting.

  • Southern Maine

    Maine · 37278

    Office

    $3824.87

    Facility

    $254.01

    $380.14 lower than Redding for the office setting.

  • Detroit

    Michigan · 37278

    Office

    $3778.10

    Facility

    $300.93

    $426.91 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 37278

    Office

    $3564.29

    Facility

    $274.49

    $640.72 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 37278

    Office

    $3947.66

    Facility

    $239.87

    $257.35 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 37278

    Office

    $3651.78

    Facility

    $268.30

    $553.23 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 37278

    Office

    $3700.08

    Facility

    $269.75

    $504.93 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 37278

    Office

    $3372.24

    Facility

    $266.21

    $832.77 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 37278

    Office

    $3358.02

    Facility

    $255.58

    $846.99 lower than Redding for the office setting.

  • Montana**

    Montana · 37278

    Office

    $3874.08

    Facility

    $270.79

    $330.93 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 37278

    Office

    $3614.77

    Facility

    $252.90

    $590.24 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 37278

    Office

    $3847.39

    Facility

    $244.10

    $357.62 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 37278

    Office

    $3566.72

    Facility

    $240.88

    $638.29 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 37278

    Office

    $4017.31

    Facility

    $266.29

    $187.70 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 37278

    Office

    $4470.45

    Facility

    $290.63

    $265.44 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 37278

    Office

    $4220.40

    Facility

    $285.61

    $15.39 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 37278

    Office

    $3582.05

    Facility

    $277.84

    $622.96 lower than Redding for the office setting.

  • Nevada**

    Nevada · 37278

    Office

    $3870.27

    Facility

    $263.38

    $334.74 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 37278

    Office

    $4611.46

    Facility

    $327.15

    $406.45 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 37278

    Office

    $4237.38

    Facility

    $291.78

    $32.37 higher than Redding for the office setting.

  • Queens

    New York · 37278

    Office

    $4567.35

    Facility

    $308.26

    $362.34 higher than Redding for the office setting.

  • Rest Of New York

    New York · 37278

    Office

    $3679.34

    Facility

    $256.22

    $525.67 lower than Redding for the office setting.

  • Ohio

    Ohio · 37278

    Office

    $3558.84

    Facility

    $269.03

    $646.17 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 37278

    Office

    $3475.85

    Facility

    $258.11

    $729.16 lower than Redding for the office setting.

  • Portland

    Oregon · 37278

    Office

    $4268.62

    Facility

    $265.36

    $63.61 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 37278

    Office

    $3846.26

    Facility

    $257.39

    $358.75 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 37278

    Office

    $4035.26

    Facility

    $284.23

    $169.75 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 37278

    Office

    $3574.14

    Facility

    $266.32

    $630.87 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 37278

    Office

    $3913.41

    Facility

    $270.48

    $291.60 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 37278

    Office

    $3992.85

    Facility

    $270.66

    $212.16 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 37278

    Office

    $3591.63

    Facility

    $262.19

    $613.38 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 37278

    Office

    $3844.23

    Facility

    $240.94

    $360.78 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 37278

    Office

    $3523.08

    Facility

    $247.69

    $681.93 lower than Redding for the office setting.

  • Austin

    Texas · 37278

    Office

    $4079.89

    Facility

    $267.61

    $125.12 lower than Redding for the office setting.

  • Beaumont

    Texas · 37278

    Office

    $3544.39

    Facility

    $265.40

    $660.62 lower than Redding for the office setting.

  • Brazoria

    Texas · 37278

    Office

    $3833.20

    Facility

    $262.34

    $371.81 lower than Redding for the office setting.

  • Dallas

    Texas · 37278

    Office

    $3855.06

    Facility

    $266.18

    $349.95 lower than Redding for the office setting.

  • Fort Worth

    Texas · 37278

    Office

    $3819.36

    Facility

    $266.51

    $385.65 lower than Redding for the office setting.

  • Galveston

    Texas · 37278

    Office

    $3842.62

    Facility

    $264.55

    $362.39 lower than Redding for the office setting.

  • Houston

    Texas · 37278

    Office

    $3867.33

    Facility

    $289.26

    $337.68 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 37278

    Office

    $3684.73

    Facility

    $265.21

    $520.28 lower than Redding for the office setting.

  • Utah

    Utah · 37278

    Office

    $3651.85

    Facility

    $264.76

    $553.16 lower than Redding for the office setting.

  • Virginia

    Virginia · 37278

    Office

    $3799.23

    Facility

    $257.19

    $405.78 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 37278

    Office

    $3913.41

    Facility

    $270.48

    $291.60 lower than Redding for the office setting.

  • Vermont

    Vermont · 37278

    Office

    $3815.61

    Facility

    $248.35

    $389.40 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 37278

    Office

    $4058.32

    Facility

    $264.06

    $146.69 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 37278

    Office

    $4699.65

    Facility

    $278.41

    $494.64 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 37278

    Office

    $3690.56

    Facility

    $238.61

    $514.45 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 37278

    Office

    $3418.25

    Facility

    $286.99

    $786.76 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 37278

    Office

    $3862.45

    Facility

    $259.16

    $342.56 lower than Redding for the office setting.

See how rates vary across the country

37278 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$3,340.66

$4,842.09

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$4,189.991
AL$3,401.021
AR$3,340.661
AZ$3,755.191
CA$4,205.01–$5,479.1729
CO$4,098.941
CT$4,167.061
DC$4,535.991
DE$3,827.071
FL$3,737.19–$4,091.893
GA$3,490.93–$3,941.892
GU$4,352.321
HI$4,352.321
IA$3,538.541
ID$3,560.111
IL$3,583.86–$4,008.364
IN$3,586.101
KS$3,503.451
KY$3,467.551
LA$3,454.98–$3,666.212
MA$4,060.54–$4,581.392
MD$3,916.02–$4,535.993
ME$3,566.83–$3,824.872
MI$3,564.29–$3,778.102
MN$3,947.661
MO$3,372.24–$3,700.083
MS$3,358.021
MT$3,874.081
NC$3,614.771
ND$3,847.391
NE$3,566.721
NH$4,017.311
NJ$4,220.40–$4,470.452
NM$3,582.051
NV$3,870.271
NY$3,679.34–$4,611.465
OH$3,558.841
OK$3,475.851
OR$3,846.26–$4,268.622
PA$3,574.14–$4,035.262
PR$3,913.411
RI$3,992.851
SC$3,591.631
SD$3,844.231
TN$3,523.081
TX$3,544.39–$4,079.898
UT$3,651.851
VA$3,799.23–$4,535.992
VI$3,913.411
VT$3,815.611
WA$4,058.32–$4,699.652
WI$3,690.561
WV$3,418.251
WY$3,862.451

Explore 37278 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 37278 in Redding, the physician’s office rate is $4205.01 and the facility-setting rate is $255.80: a difference of $3949.21.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 37278 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$4625.51

$4205.01 × 110% = $4625.51

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 37278 in Redding.

PPRRVU2026_Oct_nonQPP.csv

4,638

Code
37278
Physician work
6.00
Practice expense
108.64
Malpractice
1.35

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 37278 in Redding
ComponentRVULocality factorAdjusted
Physician work6.00× 1.0176.1020
Practice expense108.64× 1.096119.0694
Malpractice1.35× 0.5360.7236
Total RVUs125.8950
Conversion factor× 33.4009

Office / nonfacility rate, Redding$4205.01

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 37278 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work61.017
Practice expense108.641.096
Malpractice1.350.536

(6 × 1.017 + 108.64 × 1.096 + 1.35 × 0.536) × $33.4009 = $4205.01

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work61.017
Practice expense0.761.096
Malpractice1.350.536

(6 × 1.017 + 0.76 × 1.096 + 1.35 × 0.536) × $33.4009 = $255.80

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

37278 · Office / nonfacility

$4205.01

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    No ratechanged to$4205.01

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: No rate

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$4205.01$255.80RVU26D
2026-07-01$4205.01$255.80RVU26C
2026-04-01$4205.01$255.80RVU26B
2026-01-01$4205.01$255.80RVU26A
2025-10-01Not in this releaseNot in this releaseRVU25D
2025-07-01Not in this releaseNot in this releaseRVU25C
2025-04-01Not in this releaseNot in this releaseRVU25B
2025-01-01Not in this releaseNot in this releaseRVU25A

37278 billing questions

When is 37278 reported instead of 37277?

Use 37277 for the first complex femoral-popliteal artery treated with stenting and atherectomy. Report 37278 for each additional artery treated with that same combination and classification.

Can 37278 be billed by itself?

No. It is an add-on code and must accompany an applicable primary revascularization procedure.

What documentation supports 37278?

Document the femoral or popliteal artery treated, the use of both atherectomy and a stent, and the findings that support classifying the intervention as complex.

How does CMS handle bilateral reporting?

For a bilateral procedure reported with modifier 50, CMS pays 150% of the applicable amount.

Is payment for 37278 outside the primary procedure's global period?

No. CMS identifies 37278 as an add-on code paid within the primary procedure's global period.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 37278PPRRVU2026_Oct_nonQPP.csv, line 4,638 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet